Ryan Michael Benninger, AUD, CCC-A in Saint Clair Shores, MI

Ryan Michael Benninger, AUD, CCC-A is a medicare enrolled "Audiologist" provider in Saint Clair Shores, Michigan. His current practice location is 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 779-7610.

Ryan Michael Benninger is licensed to practice in Michigan (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053787549.

Contact Information

	Ryan Michael Benninger, AUD, CCC-A
	21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156
	(586) 779-7610
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Michael Benninger
Gender	Male
Speciality	Audiologist
Location	21000 E 12 Mile Rd Ste 111, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053787549
Provider Enumeration Date: 08/19/2015
Last Update Date: 03/25/2026

Medicare PECOS Information:

PECOS PAC ID: 2668808734
Enrollment ID: I20200208000107

Medical Identifiers

Medical identifiers for Ryan Michael Benninger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053787549	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	(Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ryan Michael Benninger allows following entities to bill medicare on his behalf.

Provider Name	Ascension St John Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

Provider Name	Ascension Medical Group Michigan
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114133485 PECOS PAC ID: 0648180406 Enrollment ID: O20081015000289

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Michael Benninger is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ryan Michael Benninger, AUD, CCC-A 30055 Northwestern Hwy Ste 101, Farmington Hills, MI 48334-3260 Ph: (248) 865-4166	Ryan Michael Benninger, AUD, CCC-A 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 Ph: (586) 779-7610

Reviews and Comments

Audiologist in Saint Clair Shores, MI

Dr. Alexandra C Dadich, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 21603 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 248-569-5985
St. John Hospital And Medical Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-1391
Anne Maynard, Audiologist Medicare: Medicare Enrolled Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610
Audionet America - St Clair Shores Llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 22631 Greater Mack Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-252-2914 Fax: 586-252-2918
Mr. Aaron T Gale, Audiologist Medicare: Medicare Enrolled Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610
Jaclyn Marie Sommerville, AU.D, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 23233 Nine Mack Dr, Saint Clair Shores, MI 48080 Phone: 586-498-5000 Fax: 844-273-2104

Ryan Michael Benninger, AUD, CCC-A - Medicare Audiologist in Saint Clair Shores, MI